Non-aneurysmal infectious aortitis presenting with low back pain and abdominal pain

Chan Woo Park,

doi:10.5606/tgkdc.dergisi.2014.8260

Chan Woo Park¹, Hui Young Lee², Moo Ho Won³, Jun Hwi Cho¹

Kangwon National University Hospital, College of Medicine, Kangwon National University, Chuncheon-si Gangwon-do, South Korea
¹Departments of Emergency Medicine, Kangwon National University Hospital, College of Medicine, Kangwon National University, Chuncheon-si, South Korea
²Departments of Internal Medicine, Kangwon National University Hospital, College of Medicine, Kangwon National University, Chuncheon-si, South Korea
³Department of Neurobiology, College of Medicine, Kangwon National University, Chuncheon-si, South Korea

DOI : 10.5606/tgkdc.dergisi.2014.8260

Non-aneurysmal infectious aortitis which is rarely seen presents with non-specific symptoms. Delayed treatment of the disease may result in aneurysmal changes, pseudoaneurysmal formation, and aortic rupture. A 59-yearold male patient was admitted to the emergency department with complaints of low back pain and abdominal pain. The patient had concomitant diabetes, hypertension, and rheumatoid arthritis. An abdominal computed tomography scan showed signs corresponding to non-aneurysmal infectious aortitis. The infected aorta was removed through surgical resection and anastomosis was conducted using the synthetic grafts. Broad-spectrum antibiotics were administered for a prolonged period of time. The treatment of non-aneurysmal infectious aortitis requires surgical resection immediately along with broad-spectrum antibiotics to prevent fatal complications, such as aortic rupture.

Keywords : Antibiotic; aortitis; infectious; resection; rupture

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